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Common use

Cialis is a potent, reverse, a selective inhibitor of phosphodiesterase type 5 (PDE 5) specific to cGMP. When there is a sexual stimulation the release of nitric oxide takes place due to which the inhibition of this substance is conducted. As a result, there is an increase in cGMP rate in the penile cavernous bodies. Such a process contributes to the relaxation of smooth muscles improving the blood flow to the penile tissues. Finally, the erection appears. Cialis may be active in the case of sexual stimulation. Tadalafil enhances the erection and allows to conduct a complete coition. The drug is active for up to 36 hours. In the case of sexual stimulation, the effect manifests itself within 16 minutes.

Dosage and direction

The prescribed daily Cialis is 20 mg. The pill should be drunk 16 minutes before having sex with a partner. The effect lasts for almost 36 hours. Apply Cialis daily without overdosing.

Precautions

It is not allowable to admit Cialis with drinking grapefruit juice, alcoholic drinks, cigarettes. If you are smoking and taking Cialis simultaneously such a combination may contribute to NAION diagnosis. Notify your physician until the start of Cialis intake if a man has a curved penis or any other physical defects, coronary artery disease, angina pectoris, cardiac attack or cardiac failure, increased or decreased arterial blood pressure, gastric ulcers, diabetes, sickle-cell anemia, hepatic or kidney failure in the anamnesis.

Contraindications

Cialis Professional main contraindication is the combination with organic nitrates.

Possible side effects

The most commonly met side effects are face redness, migraine, indigestion, diarrhea, influenza symptoms and nausea. In rare cases, there are the following side effects: hypotension, blurred vision, long-lasting erection known as priapism. If your erection lasts for longer than 4 hours, visit the doctor without delays. Cardiac problems may aggravate if taking Cialis.

Drug interactions

The combination with remedies having organic nitrates in the composition with Cialis Professional may become a cause of sudden pressure drop which may bring damage to health in some individual cases. These meds are included in the list of prohibited: Erythrityl Tetranitrate, Isosorbide Dinitrate, Isosorbide Mononitrate, Nitroglycerin, Pentaerythritol Tetranitrate. Tadalafil concentration is increased in blood if taken together with itraconazole, ketoconazole, ritonavir, indinavir and erythromycin. Notify your healthcare giver if your therapy includes Atazanavir, Clarithromycin, Doxazosin, Erythromycin, Indinavir, Itraconazole, Ketoconazole, Moxisylyte, Nefazodone, Nelfinavir, Phenoxybenzamine, Saquinavir, Telithromycin, Terazosin, Trimazosin.

Missed dose

The Cialis dose can’t be missed as it is applied when there is a necessity.

Overdose

The symptoms of an overdose are similar to the side effects. Inform your doctor if you have some of them.

Storage

Storing conditions: room temperature out of moisture, sunlight, kids and pets. A tight container can be used.

Disclaimer

We ensure only information as the general reference about medical substances which does not include all indications, probable contraindications, or precautions. Self-treatment and self-diagnosis cannot be established on the basis of the given on the website information. Any specific recommendations for an individual case should be coordinated with your healthcare giver. We decline the trustworthiness of this information and misinformation which the description contains. We are not answerable for any straightforward, consequential, specific or other indirect damage as a result of any use of the information on this site and also for an outcome of self-treatment.